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NC DMH 5-72-19-2: 24-Hour Facility IVC Exam

North Carolina 24-hour facilities record the second examination of an involuntary commitment respondent on DMH 5-72-19-2, printed on the form as the Second Examination for Involuntary Commitment. A clinician meets it after the respondent arrives following a first examination or emergency certificate. The examiner decides whether the respondent still meets commitment criteria and recommends a disposition to the court.

Who completes it

A physician completes the inpatient and outpatient second exam and must not be the physician who did the first exam or signed the emergency certificate. For substance abuse commitment, a qualified professional may sign if a physician performed the first exam; the facility's record custodian certifies the copy.

Submitting and payment

How to submit it
Copies go to the clerk of superior court where the petition began, the clerk where the facility is located, the respondent or attorney and the proposed outpatient provider; if the clerk cannot receive them within 48 hours, the examiner phones in the findings. IVC filings go through eCourts in all North Carolina counties.

Good to know

  • Section I has three columns (inpatient, outpatient, substance abuse) with criteria checkboxes; Section II must describe findings for every criterion checked.
  • Disposition options include inpatient commitment for a stated number of days, outpatient or substance abuse commitment, release pending hearing, holding at the facility, voluntary treatment or termination.
  • A respondent charged with a violent crime and found incapable of proceeding is not released until the court orders it, even if criteria are not met.
  • The exam may be done by telehealth if the physician certifies the results match an in-person exam; the current revision is dated 3/13/2024.

Get the official form

Download the current version from the source each time; forms change without notice.

24-Hour Facility Exam for Involuntary Commitment

Official pagePDF

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Frequently asked questions

Who can perform the NC 24-hour facility exam?

A physician for inpatient and outpatient commitment, who cannot be the same physician who completed the first examination or the emergency certificate. For substance abuse commitment, a physician signs if the first exam was not done by a physician; otherwise a qualified professional may sign.

Can the second IVC exam be done by telehealth?

Yes. The examiner checks that the exam was done by telehealth and certifies to a reasonable degree of medical certainty that the results were the same as if personally present, or states that the respondent must be taken for a face-to-face examination.

What does the DMH 5-72-19-2 recommend to the court?

Section III gives the disposition: inpatient commitment for a set number of days, outpatient commitment with a proposed provider, substance abuse commitment, release or hold pending hearing, consent to voluntary treatment, or release and termination of proceedings when the findings do not meet commitment criteria.